HomeMy WebLinkAbout078-180-038G36__rt&__tto7_93-343 B
SHAFFER, JIM
5311 PARKDALE,-OROVILLE'
CONTR: KIM-PARKS
'i TRUSS. ROOF, COV AREA, SIDING/SF
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V=OK
O = Not OK
-= Not Applicable'
Not Ready MOBILE HOMES
=
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1:, -Zoning Requirements -Setbacks -Easements
2.- Solis; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. • Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Net. or/ /" L"ft./ /"LPG '
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2..Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. , Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Tat -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. -Gas and Electricity Tagged '
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Docking ,Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
-9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Tat -Water Supply Tat
V=OK
°==Not
t OK
NApplicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date/Initials UNDERFLOOR Plans OK except #'s
Lj,on i ng -Setbacks -Easements -Flood -Slope
2..��Is;Elec. Grnd.-/ P' Ftg. Depth
dtts-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slap.; -Steel -Wrapped
iers-Fireplace Ftg.-Steel
9. D.W.V.; Fell -Fitting -Test -2 Way C/ ewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Materiel -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
_Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s j
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors /
/S/�Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
// f 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. ywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Siding -Nailing Veneer
y ) 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
d 57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg: Appliance -Fireplace :Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM T NO.
r APPLICATION AND PERMIT �i3 -3� ¢
ASSESSOR PARCEL NUMBER
036-176-010
ZONING
R-1
BUILDING PERMIT
OWNER
Jim Shaffer
TELEPHONE
533-0876
SQ. FT. OCC. BUILDING VALUATION
388 C 5,044.00
OWNER'S MAILING ADDRESS
5311 Parkdale Oroville 95965
Est. 20,000.00
CONTRACTOR'S NAME
Kim Parks Construction
TELEPHONE
1 533-3737
CONTRACTOR'S MAILING ADDRESS
1737 Wyandotte Ave. Oorville 95966
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 25,044.00
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 2588.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 168.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMrr FEE $ 446.50
PLUMBING PERMIT Filing Fee 20.00
Each Trap 1 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIV ION'S AM�
/A a
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF)] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New ❑ Addition C3Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: New Truss Roof, Covered Area,
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Siding
Main Service ( OOOV OR LESS
200A OR LESS 23.00 )
Main Service ( 200A To 1000A ) 46.00
NEW CONST. DWELLING OCCUP. .
OR ADDNS. ( a ACC. OLDS. S
) 3.50 .TO.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
VI am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
/ 3/9 S� `
License No. Cp J Classification (?— ��j C` 3 i
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) BL. @ I.50
Ex. Occup.FIXED APPWS. OR
(OUTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
Q� 1 have placed on file with the County of Butte Dept. of Development Services,
/ Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agr save, indemnify and keep harmless the County of Butte against all
liabiliti , ludg ants, costs, and expenses which may in any way accrue against said
Cou in co equence of the gr i g of this permit.
X Date %Q /
Signature of Applicant - ❑ Owner Contractor Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CVST.
CV
-
TOTAL FEE $ 446.50
HA2.
D. FEES I IMP I FLOODCDF
PARCEL PD
HD
ISSUE
T
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECT IC WORKS
By Date [ / 7 3
`��
PERMIT EXPIRES ON /%
'/Oe tel'
ReceiptNo. PC 153247 W -21 .50A o — 1 (0C�
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
i....�GOUNTYOF BUTTE - DEPARTMENT O ,pEVELOPMENTSERVICES - BUILDING DIVISION
of �, .oma �
r 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA95965-TELEPHO E(916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER �� / A. P No. � 3� "' 76 Ul a
Proposed Building Use eQOy S%��UGG Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted ............. .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. tatement of Intent for Non -Heated and A/C Buildings. .
. Engineered truss details and layout in duplicate (required prior to plan check).
Mobilehome a , n manufacturer's installation instructions, 2 sets. ..........
10. Fees of $ . ........................................l
11. Impact fees as shown on attached schedule . ...............................
12. California Department of Forestry plan approval/fees...................... .
13. Flood elevatiomletter (100 year flood) by California Engineer .................. .
14. Sanitation and plot plan approval NO Health Department .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. .. .
Prean,.clim requ-e-sT--
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . .......................... r-
23. Owner -Builder Verification (Given to owner , Mail to owner _�. ...........
4 -Recorded copy of Agricultural Acknowledgement Statement . .................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ..........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .................................................... .
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to•contractor..
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date b/B l?3
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted priiorr topermit issu (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Con tor, designer, owner, was advised of above required data by _ phone _ mail Counter by 6ODate 6 --
Contractor, designer, owner, was advised of above required data by _ phone _ Mp1l- Counter by _ Date
Plans checked by Date . "� . , Plans approved by " ) DateP _
��6ets of plansyld in Filer
Copy - Department of Public Works _
PMlT'DOC
DATE
TO WHOM IT MAY CONCERN:
. .
/V
I AUTHORIZE (`��^� �-iq TO PICK UP A BUILDING PERMIT
FOREMAN
FOR THE CONTRACTED W[iRK AT
ADDRESS
FOR AT ( ) 53 -S u"^5 . THIS
CUSTOMER NAME CUSTOMER PHONE #
PERMIT IS FOR.
PRODUCT '
THE TOTAL AMOUNT OF THE JOB IS $ Ono
THANK YOU FOR YOUR CONSIDERATION,
KIM PARKS CONSTRUCTION 916-533-3737 FAX # 532-6813
^
SINCERELY,
�
WILLIAM K. PARKS
KIM PARKS CONSTRUCTION/HOMEOWNERS RESOURCE
LIC # 631845
1737 WYANDOTTE AVE.
OROVILLE CA 95966
OWNER'S NAME:
t
RECEIVED -
7PERM NUMBER: C`�* .
' A . P. # • , --) 69 �') O DATE I 9 3
RESIDENTIAL F-1 NON RESIDENTIAL RECEIVED BY TIME
--——————————RE—QU—IRE—D---PRIORT TO --PE—RM—IT ISSU---TN C—E-----------
FROM DATA SHEET REQUESTED BY PLAN CHECKER
OTHER
---------------------------------------
REQUESTED BY CORRECTION NOTICE F� YES E] NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
----------------------------------------
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
(Address)
Mail .to contractor
(Name and Address)
Call and hold for pickup at office.
Deliver with next' inspection
�y-may / 7
REVISED P CHECK FEES PAID:
A3 0l.,�00 .. Additional Fees Not Required
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